PodcastsEducationDiagnostic Atypia

Diagnostic Atypia

Drs. Michael Arcieri and Andrew Sanchez
Diagnostic Atypia
Latest episode

26 episodes

  • Diagnostic Atypia

    Episode 24: Diagnostic Dilemma - Subacute Fatigue + BMP Derangements

    23/03/2026 | 44 mins.
    Andrew presents the case of a woman with subacute fatigue but no localizing symptoms. On arrival, every lab is flashing red. The diagnosis remains elusive, but seems so obvious in reflection. Can you recognize the illness script?
  • Diagnostic Atypia

    Episode 23: Diagnostic Dilemma - Readmission with Acute AMS

    09/03/2026 | 50 mins.
    Mike presents the case of a recently hospitalized man readmitted to the hospital for altered mental status with neuropsychiatric features. The case escalates without a diagnosis until suddenly he's "cured." The only issue? You treated with so many agents simultaneously that now you have no idea which one to keep. Turns out, his nurse holds the final clue.
  • Diagnostic Atypia

    Episode 22: Diagnostic Dilemma - Post-operative Ascites with Mystery Guest!

    23/02/2026 | 47 mins.
    Mike works through a case of new-onset ascites, where every test comes back negative. Or did they? When we don't know what test to order next, sometimes the best approach is to reconsider the results we already have. What is hiding in plain sight?
  • Diagnostic Atypia

    Episode 21: Guestpisode! - Bradycardia

    22/12/2025 | 49 mins.
    Dr Nicholas Salter presents the case of an elderly woman evaluated in the ED for confusion & bradycardia. What if the disease marker can cause the disease itself?
  • Diagnostic Atypia

    Episode 20: Guestpisode! - Refractory Shock

    24/11/2025 | 49 mins.
    Dr. Brendan Robinson presents a case of refractory shock after recent CABG. As the 4th pressor is hung, Andrew and Mike realize they don't have the "tincture of time" in this one. Join us for an all-out scramble through the shock differential!

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About Diagnostic Atypia

Inspired by the Diagnosis community (eg The Clinical Problem Solvers), Drs. Michael Arcieri (@mikearcieri.bsky.social) and Andrew Sanchez (@ASanchez_PS) present a new space for Dx enthusiasts to experience diagnostic dilemmas encountered on the general medicine wards and medical ICU service. From puzzling symptoms to rare conditions, Drs. Arcieri and Sanchez highlight the twists and turns of atypical diagnostic journeys. Clinicians and students are invited to bring thought-provoking cases for group reflection ([email protected]). Episode-associated teaching is available at DxAtypia.com
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